Chapters in the History of the Insane in the British IslesTuke, Daniel Hack
History
Chapters in the History of the Insane in the British Isles
Tuke, Daniel Hack
Mental health laws -- Great Britain; Mental illness -- Great Britain; Mentally ill -- Care; Psychiatric hospitals -- Great Britain
A striking instance of the respective powers of the Committees of
asylums and the Commissioners in Lunacy occurs in the Report of the
latter for 1870. Death from broken ribs had taken place in a county
asylum, and the Commissioners considered the cruelty of an attendant
established. They reported inadequate supervision of the wards, as well
as the attendants, in reply to which the committee of visitors asserted
that they would not enter into any discussion on a subject upon which
they considered themselves fully competent to determine how they should
discharge their own duties. The Commissioners found that they had no
alternative but to leave to the refractory committee the
responsibility, which they had shown no unwillingness to assume, of the
adoption or rejection of such recommendations. "The law which has
required us to investigate and report as to matters affecting the
management of county asylums, has invested us with no authority further
to enforce our views." In the same way their authority was set at naught
in an asylum where an idiot boy was found on the floor, strangled by a
pocket-handkerchief, effected, there was every reason to believe, by one
of the patients, and the Commissioners found that the deed could not
have been perpetrated if attendants had been properly dispersed through
the wards. The union authorities failed to get satisfaction from the
committee, and the Secretary of State was memorialized by the guardians,
who were backed up by the Commissioners, but in vain. Hence the
Commissioners complained of "the limits thus placed to all real
authority but that of the committee of visitors over establishments
whose inmates are necessarily most at the mercy of attendants, and in
which these cases of misconduct most frequently occur."[202]
We have alluded to this circumstance, not to indicate that at the
present time the committees of asylums set themselves in opposition to
the recommendations of the Commissioners, but our historical sketch
demands, in justice to the latter, who are often supposed to have
unlimited power, that it should be known that desirable reforms may not
be carried out in our asylums, and yet the fault may not lie at the door
of the Lunacy Commissioners. And it should be stated that recently Lord
Shaftesbury has publicly expressed his individual opinion that it is
better for the views and wishes of the Commissioners to appear in the
form of recommendations rather than commands.
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Public-domain text, read in full here on John Shaqi.
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